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City of Everett Work Activity <br />Work Order InformiNon <br />Smlce Reqaesf N WOq Auigned <br />DateLuued �_ /�. 9 9 <br />Lvued By �i ��4 I C'i!ZE'.� /'7 � t`C..f <br />/niyals Fu!! name <br />Fund y p� S� Prognm '1 � p Function �,l Activity 67� <br />Job Catr No �-��� Projecf No. <br />Title 1�' <br />Rel Work Order <br />Addraa Predirection Street <br />ei �S ❑ C�Q.. ¢..�..l�i <br />�;ry -� <br />'/jnot "Everert"spec�whrchCiry' <br />Struct/Equip Type ,�-� <br />Struct/Equip No �� a b — — — <br />Srrucrnre/Equipmenr p pe when applrcable <br />Feet � Descripfion <br />Commentr <br />Bold Type = Mandatory fields to be populated <br />!mlic = Optiw�a! fields <br />FOR.�iS:R'RICACTVY3 (CM11 01/26i59) <br />Problem Information <br />Street Type <br />�E <br />PostdirecNon <br />a <br />In[ormation <br />Problem � �� / <br />N <br />Sub Problem � �{- � <br />